Beleza Ludmylla de Oliviera, Ribeiro Laiane Medeiros, Paula Rayanne Augusta Parente, Guarda Laíse Escalianti Del Alamo, Vieira Gessica Borges, Costa Kassandra Silva Falcão
Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil.
Hospital Materno Infantil de Brasília, Brasília, DF, Brazil.
Rev Lat Am Enfermagem. 2019 Jan 17;27:e3113. doi: 10.1590/1518-8345.2301.3113.
to analyze the cohort profile of at-risk newborns attended by nurses in a multidisciplinary follow-up clinic, with emphasis on the type of feeding and weight gain, after hospital discharge.
retrospective cohort, whose population is composed of at-risk newborns attended in a 4-year period. Data came from medical records and attendance report, later exported to R Program. The outcome variables were number of the nursing consultation, type of feeding, daily weight gain and main guidelines. We used descriptive statistics, frequency distribution and applied Mann-Whitney, Chi-Square, Spearman correlation, Variance and Tukey analysis, with p <0.05 being significant.
a total of 882 consultations with 629 infants and families were analyzed. The frequencies of exclusive breastfeeding and weight gain increased as the consultations progressed. The infants who needed more consultations and with lower weight gain were those with lower gestational age (p = 0.001) and birth weight (p = 0.000), longer length of hospital stay (p <0.005), and diagnoses related to extreme prematurity (p <0.05), among others.
nurses verified the importance of outpatient follow-up of at-risk newborns, especially in promoting breastfeeding and healthy growth.
分析多学科随访门诊中护士照料的高危新生儿队列概况，重点关注出院后的喂养方式和体重增加情况。
回顾性队列研究，研究对象为4年内接受照料的高危新生儿。数据来自病历和出勤报告，随后导出至R程序。结局变量包括护理咨询次数、喂养方式、每日体重增加量和主要指导原则。我们使用了描述性统计、频率分布，并应用了曼-惠特尼检验、卡方检验、斯皮尔曼相关性分析、方差分析和图基分析，p<0.05具有统计学意义。
共分析了629名婴儿及其家庭的882次咨询。随着咨询次数的增加，纯母乳喂养和体重增加的频率也有所上升。需要更多咨询且体重增加较少的婴儿是那些胎龄较小（p = 0.001）、出生体重较低（p = 0.000）、住院时间较长（p<0.005）以及与极早早产相关诊断的婴儿（p<0.05）等。
护士证实了高危新生儿门诊随访的重要性，尤其是在促进母乳喂养和健康成长方面。
